The pirani score evaluation on patients with clubfoot treated with the ponsety method in public hospital

Abstract

Background: Congenital talipes equinovarus (CTEV) or clubfoot refers to congenital anomalies in the feet with complex deformities. The non-surgical technique with the Ponseti method for clubfoot treatment has been adopted as initial therapy and proven effective for clubfoot treatment. Purpose: This study aims to evaluate the results of Ponseti therapy in patients with clubfoot who came to the Ponseti Clinic at the Dr. Soetomo Regional Public Hospital, Surabaya. Method: 14 patients consisting of nine men and five women were involved in the study. Based on the data obtained, ANOVA statistical test was performed on the Pirani score (total score), hindfoot score, and midfoot score. Furthermore, the statistical hypothesis testing was performed by comparing the degree of clubfoot severity with Pirani scores using the independent t-test. Results. The mean Pirani Score in the research subjects reached 1.178. The mean Hindfoot score of research subjects reached 0.5. The mean Midfoot Score of the Research Subject was 0.642. The statistical hypothesis testing results revealed that the mean Pirani Score in the degree of severity for the severe category was higher than the mean Pirani Score for the moderate category, which was statistically insignificant with a p-value of 0.126). Conclusion: Pirani score can be a reference as a clinical evaluation of patients with clubfoot who undertake conservative treatment with the Ponseti technique. Moreover, the Pirani score can also provide predictions of clubfoot severity.

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